We discuss neurophysiology and general principles for some of these neuro-
logical and neuropsychiatric diseases. Clinically relevant questions vary, but a
common element is a change in dynamics. Healthy brains switch from normal to
abnormal behavior, as in the transition to seizures. What are candidate mechanisms
that trigger seizures and why do some patients respond so poorly to current
anti-epileptic drugs? Initially, severe injury can suddenly become fatal, as in some
patients with stroke. Why do neurons swell in stroke patients and more so in some
and hardly in others? Motor behavior can be disturbed by the occurrence of tremors,
characterized by involuntary oscillations that are not present in a healthy motor
system. How should we treat tremors in patients with Parkinson’s disease? Why is
deep brain stimulation so effective in some? Moods oscillate between euphoria and
depression in patients with a manic-depressive disorder. In other patients, the
depressions are so severe that electroconvulsive therapy is the only treatment option
left. How does that work?
In the first two chapters, we treat essentials of neurophysiology: the neuron as an
excitable cell, action potentials, and synaptic transmission. Next to a treatment of the
phenomenology, we present a quantitative mathematical physiological context,
including the Hodgkin-Huxley equati ons. In Chaps. 3 and 4, we introduce scalar and
planar differential equations as essential tools to model physiologi cal and patho-
logical behavior of single neurons, This includes a treatment of equilibria, stability,
and bifurcations. In this chapter, we also discuss various reductions of the
Hodgkin-Huxley equations to two-dimensional models. Chapter 5 describes inter-
acting neurons. We review some fundamental “motifs,” treat the integrate-and-fire
neuron, and discuss synchronization. In Chap. 6, we introduce the basics of the
generation of the EEG, and show various clinical conditions where EEG recordings
are relevant. In Chap. 7, we discuss a meanfield model for the EEG, using the
physiological and mathematical concepts presented in earlier chapters. Two chapters
discuss pathology and include applications of the concepts and mathematical models
to clinical problems. Chapter 8 treats dynamics in ischemic stroke including a
detailed treatise of processes involved in edema/cell swelling. In Chap. 9, we discuss
clinical characteristics of epilepsy, the role of the EEG for diagnostics, and present
various mathematical model s in use to further understanding of (transition to) sei-
zures. Limitations of current treatment options and pharmacoresistance are treated, as
well. Finally, in Chap. 10, we review some clinical applications of neurostimulation.
All chapters contain examples and exercises; answers are included.
Mastering the contents of this book provides students with an in-depth under-
standing of general principles from physiology and dynamics in relation to common
neurological disorders. We hope that this enhances understanding of several
underlying processes to ultimately contribute to the development of better diag-
nostics and novel treatments.
Prologue ix